Organization
MINDFUL MINOTAUR LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CASSANDRA BOURNIVAL MSBS, LMFT (OWNER)
(405) 276-4747
Entity
Organization
Contact information
Practice address
2500 MCGEE DR STE 104, NORMAN, OK 73072-6705
(405) 276-4747
Mailing address
200 MIDWAY DR, NORMAN, OK 73072-4321
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
106H00000X
Marriage & Family Therapist
—
—
Other
Enumeration date
01/07/2022
Last updated
01/07/2022
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